FDA Adverse Event Malfunction Summary report: N

PERMAFLEX PLUS ADHESIVE SLIDES, WHITE

MDR report key: 22800226 · Received August 13, 2025

Report

Report Number
1419341-2025-00033
Event Type
Malfunction
Date Received
August 13, 2025
Date of Event
July 16, 2025
Report Date
November 13, 2025
Manufacturer
LEICA BIOSYSTEMS RICHMOND INC.
Product Code
KEW
UDI-DI
20849832023146
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

RETAIN SAMPLES WERE UNAVAILABLE FOR ADDITIONAL TESTING. THE ROOT CAUSE FOR THE "TISSUE NOT STICKING TO SLIDES" REPORTED BY THE CUSTOMER COULD NOT BE UNEQUIVOCALLY DETERMINED FROM THE INFORMATION AVAILABLE. IF ADDITIONAL INFORMATION IS RECEIVED AN ADDITIONAL FOLLOW UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

THE CUSTOMER REPORTED TISSUE FALLING OF PERMAFLEX PLUS ADHESIVE SLIDES, WHITE, P/N 3800014, LOT 091624-2 WHILE RUNNING STANDARD H&E. NO ADVERSE EVENTS WERE REPORTED. DEVICE HISTORY REVIEW WAS COMPLETED. THERE WERE NO DEVIATIONS OR NON-CONFORMANCES ASSOCIATED WITH THIS LOT. TRENDING ANALYSIS REPORTED NO (0) OTHER RELATED OCCURRENCES OF THIS ISSUE FOR THIS PRODUCT LOT. QUALITY CONTROL TESTING WAS COMPLETE AND PASSED. AS MANUFACTURER INVESTIGATION OF THIS COMPLAINT BY LEICA BIOSYSTEMS IS IN PROGRESS, THE ROOT CAUSE OF THIS EVENT HAS NOT YET BEEN DETERMINED. IF ADDITIONAL INFORMATION IS RECEIVED A FOLLOW UP MDR WILL BE SUBMITTED.

Description of Event or Problem · 0

ON 16 JULY 2025, LEICA BIOSYSTEMS RECEIVED THE FOLLOWING INFORMATION: "TECH HAD ISSUES PICKING UP THE TISSUE IN THEIR WATERBATH. TISSUE WOULD NOT STICK TO SLIDE. CUSTOMER THEN SWITCHED TO DIFFERENT SLIDE AND THEN WORKED FINE." AS OF 13 AUGUST 2025, LEICA BIOSYSTEMS HAS NOT RECEIVED INFORMATION AS TO EITHER THE FINAL STATUS OF THE PATIENT TISSUE SAMPLES INVOLVED IN THIS EVENT OR THE PATIENT IMPACT/OUTCOME. NO ADVERSE CONSEQUENCE(S) TO A PATIENT(S) HAS BEEN REPORTED TO THE MANUFACTURER TO DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
79466 PERMAFLEX PLUS ADHESIVE SLIDES, WHITE SLIDES, MICROSCOPE KEW LEICA BIOSYSTEMS RICHMOND INC. PERMAFLEX PLUS ADHESIVE SLIDES, WHITE 091624-2 20849832023146

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown